基于数据挖掘分析姚新苗治疗痹证用药规律  

YAO Xinmiao's Medication Rules in the Treatment of Bi Syndrome Based on Data Mining Analysis

作　　者：吴海帆 蒋逸 王雯祎 陈海峰 陈智能[2] 李桂锦[2] 陈小刚[2] 姚新苗(指导)[2] WU Haifan;JIANG Yi;WANG Wenyi;CHEN Haifeng;CHEN Zhineng;LI Guijin;CHEN Xiaogang;YAO Xinmiao(The Third Clinical Medical School,Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《新中医》2023年第19期16-21,共6页New Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教发〔2014〕20号);浙江省国医名师建设项目(浙卫发〔2018〕70号);国家中医药管理局项目(GZY-ZJ-KY-23022);浙江省中医药管理局项目(2022ZA091,2023ZL075)。

摘　　要：目的:探讨姚新苗治疗痹证的用药规律。方法:对2020年1月—2021年9月就诊于浙江中医药大学附属第三医院姚新苗专家门诊的505例痹证患者进行临床资料采集,并使用Excel 2013建立病例资料信息库,基于古今医案云平台工具(V2.3.5),对数据进行规范化处理及用药频数、属性、聚类等数据分析。结果:505例患者共涉及中药255种,从用药频数看,姚新苗治疗痹证多选用甘草、生姜、桂枝、白芍、牛膝、大枣、柴胡、黄芩、茯苓、白术、姜半夏、当归等中药,其功效主要为调和营卫、温通经脉、缓急止痛等。从药性频数和归经频数看,药性以温、平为主;药味以甘、辛、苦为主;归经以脾、肝、肾、胃经为主。结论:姚新苗治疗痹证以调和营卫为治法,并根据辨证分清本虚标实,邪有异同,选方用药,逐层深入治疗痹证,做到祛邪不伤正。Objective:To investigate the medication rules of YAO Xinmiao in the treatment of bi syndrome.Methods:Clinical data were collected from 505 bi syndrome patients who were admitted to YAO Xinmiao's expert clinic in The Third Affiliated Hospital of Zhejiang Chinese Medical University from January 2020 to September 2021,and the case data database was established using Excel 2013.Based on the Ancient and Modern Medical Records Cloud Platform(V2.3.5),the data were normalized and data analysis such as frequency of medication,properties and clustering were performed.Results:A total of505 patients involved 255 kinds of Chinese medicinals,from the frequency of use,YAO Xinmiao used Glycyrrhizae Radix et Rhizoma,Zingiberis Rhizoma Recens,Cinnamomi Ramulus,Paeoniae Radix Alba,Achyranthis Bidentatae Radix,Jujubae Fructus,Bupleuri Radix,Scutellariae Radix,Poria,Atractylodis Macrocephalae Rhizoma,Pinelliae Rhizoma Praeparatum Cum Zingibere et Alumine,Angelicae Sinensis Radix and other Chinese medicinals to treat bi syndrome.The main effects were to harmonize ying and wei,warm and activate meridians,relieve spasm and pain and so on.From the frequency of drug properties and the frequency of meridian tropism,the drug properties were mainly warm and balanced.Medicinal flavors overe mainly sweet,pungent and bitter.The main meridian tropisms were spleen,liver,kidney and stomach.Conclusion:YAO Xinmiao treated bi syndrome with the method of harmonizing ying and pathogen.According to the syndrome differentiation,the deficiency in origin and excess in superficiality,the similarities and differences of pathogen are distinguished,and then the prescription is selected to treat the bi syndrome layer by layer,so as to remove pathogen without damage healthy qi.

关 键 词：痹证 疼痛 数据挖掘 组方规律 姚新苗 

分 类 号：R255.6[医药卫生—中医内科学]